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 | | From: 2many (Original Message) | Sent: 4/10/2002 7:28 AM |
The New Epidemic: Anxiety -Panic - Depression | by Elizabeth Bohorquez, RN, SRN, CPH |
Question: More people seem to be suffering with anxiety attacks than ever before & I'm one of them. I hate the idea of living my life on medications, but without them I'm afraid to leave home. It bothers me that I can't get a handle on this part of my life. My medical tests show I am in good health. What am I missing here? RHONDA
Answer: The number of people suffering from panic, anxiety I agoraphobia has reached more than epidemic proportions. If we add to this number, those people suffering additional anxiety due to specific disease processes, such as heart, cancer, diabetes, elevated blood pressure & pain related disorders such as arthritis, fibromyalgia, one wonders if anyone is anxiety free. A large majority of anxiety prone people hold full-time jobs, many at executive & managerial levels where they experience a relatevly high degree of workplace stress. Many are taking medications of some sort, from tranquilizers to anti-depressants & sleeping pills. Others are addicted to other substances including alcohol, nicotine, sugar & drugs. Many complain of poor concentration & memory recall, tending to be absent from work quite frequently. Few can remember the last time they felt well physically, emotionally or spiritually.
Managing anxiety & panic is like anything else. There are many facets to be considered & once these are defined, a workable program needs to be put in place & then worked out with persistence! It is always a good idea to have a medical examination to rule out any disease processes. My patients learn to play the game of "inner baseball" to manage & prevent anxiety disorder. First base is always managing the nutritional link. Most people pay little attention to what they put in their bodies, or don't put in their bodies. For example, sometimes the body gets breakfst & sometimes it doesn't. Many days it is loaded with junk & on other days it is put on a stringent diet. People with a tendency to hyperinsulinemia often report anxiety problems. This is a physiological issue & can be managed with proper diet. Second base is learning to work with the actual body sensations, thoughts & emotions. Whenever we feel tension, the body is attempting to let us know it is under phys! ical stress. Most never pay attention to this cell phone message on low levels, but attention is certainly paid once the sensations begin screaming, such as in an anxiety attack. third base is learning to re-program past experiences & negative expectations with the tools of imagery or Interactive Self-Hypnosis. The images we play in our mind become the goal of the subconscious mind. It is important for people with anxiety disorder to notice their negative programming patterns & triggers, as well as to place new images in these inner subconscious files.
Have a question? Please send it along to [email protected]
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Elizabeth Bohorquez, RN, SRN, CPH, is President & Program Designer for Sarasota Medical Hypnosis Institute located online at http://www.hypnosis-audio.com, home of Mindbody Health Education & Audio. Her background includes oncology, medicine, surgery, obstetrics, prevention, workplace health & stress management, as well as sports & professional performance enhancement. She can be reached at [email protected]
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Reply
 | | From: 2many | Sent: 4/10/2002 7:29 AM |
Managing the New Epidemic... Anxiety, Panic and Agoraphobia Elizabeth Bohorquez, R.N., SRN, CPH President & Program Developer Sarasota Hypnosis Institute The number of people suffering from panic, anxiety, agoraphobia, and the like has reached more than epidemic proportions. If we add to this number, those people suffering additional anxiety due to a specific disease process such as heart disease, cancer, diabetes, circulatory disturbances, and pain-related disorders such as arthritis, fibromyalgia, and the like, one wonders if anyone is left anxiety-free. The anxiety/panic epidemic is not just a national problem, but one of international proportion. The large majority of those suffering with these disorders are holding full-time jobs, many at Executive and managerial levels and are experiencing a relatively high degree of workplace stress. Many are taking medications of some sort, from tranquillizers to anti-depressants, and sleeping pills. Others are addicted to other substances including alcohol, cigarettes, sugar, and drugs, both legal and illegal. Most people with anxiety/panic disorder have verysimilar complaints from free floating anxiety to full-blown anxiety attacks, making them prisoners of their own lives. Many complian of poor concentration and memory recall, and tend to be absent from work quite frequently, and few can remember the last time they felt well, physically, emotionally and spiritually. Managing anxiety and panic is like anything else. There are many facets to be considered, and once these are defined, a workable program needs to be put in place, and then worked on with persistence! Holistic Key #1: Food Stress Most people pay very little attention to what they put into their bodies in the form of food or drink, or the combination thereof. In fact, most bodies don’t know what to expect. Sometimes they get breakfast, sometmes they don’t. Many days they are loaded with junk, and other days they’re put on some sort of a diet. Now, I can hear the yelps...."I eat low-fat." "I never snack between meals." " I count my calories very closely." For many people this is true, but even for those who follow some sort of regime, research shows we still may be eating incorrectly for our own body needs. 75% of th population carry a gene known as Profactor H, or the caveman gene. This hereditary factor guides the way our body responds to certain foods, especially high carbohydrate foods. by over producing the hormone insulin. Insulin is a fat-storer, and we either over produce this hormone or build a resistance to it, our bodies store our intake as fat, even if we are eating a low fat diet. In reality, if a diet is too low-fat, the body will actually store even more. If we have a tendency towards this Profactor, we need to be careful about which carbohydrate foods we chose, how often we eat them, and the amounts at each meal. We need to be aware of the balance between our intake of protein, fat and carbohydrates. Once the balance is in place the body can start burning fat, which is the ideal biochemical state. This holds true even if a person is not over-weight, as is sometimes the case in panic and anxiety disorders. It is also important to note that Profactor H is the underlying link to the major killers; heart disease, adult onset diabetes, atherosclerosis, high blood pressure, high cholesterol, certain cancers including breast, ovarian and uterine, and is a link to smoking and yo-yo weight gain. People with a tendency to Profactor H, or hyperinsulinemia have a particular personality profile which includes anxiety, panic, agoraphobia, emotional instability, depression, PMS, and many other uncomfortable body feelings. Many turn to cigarettes, drugs, or alcohol to try to calm this feeling which they describe as "stress." This feeling is actually a drop in blood sugar, or what is known as food-induced hyperinsulinemia. For people with an active "body symptom policing system" in place, this blood sugar drop is vry frightening. The body answers this hypoglycemic response with an outpouring of other stress hormones including adrenalin and cortisol, among others. These neurological stimulators increase the already present body sensations, and fear sets in. This frightening cycle intensifies, and many choose to completely alter their lives in a sad attempt to manage this biochemical reaction. Once one learns to manage food-induced hyperinsulinemia, the body sensations are reduced greatly. The next step is to understand how to reinterpret the sensations, so they can actually work for the individdual, instead of hindering his progress. INTERACTIVE SELF-HYPNOSIS: Working with Body Sensations, Thoughts and Emotions The body communicates with us through our body feelings or sensations. Whenever we feel tension , that is an attempt of the body to let us know it is under physical stress. Most of us never pay any attention to this body communication, especially on low levels. We do pay lots of attention once the sensations begin screaming at us, such as neck spasms, backache, indigestion, heart palpitations, dizziness, headaches, to name a few. By this time the stress chemicals in the body are very high, and seriously interfering with our ability to function on all levels. We can learn to manage this by learning various techniques which retrain the brain to release the stress chemicals on low levels subconsciously. "Interactive Hypnosis" is a variety of techniques which put the individual in charge of managing his own body chemistry. When we teach our brain to be aware and release low stressors, we do not need to be alerted. The brain becomes an excellent employee, doing it’s job for us. We can also train the brain to notice and release negative chemical producing thoughts and emotions which appear and which are not currently needed for our functioning. These techniques are very powrful, and allows the mind to clear itself and be available for the work at hand. These tools have been utilized by top athletes, executives, and those interested in accelerated learning. Most people suffering from anxiety, panic, depression, sleep disorders, poor concentration, memory, and pain, have what is known as "run away brain syndrome." The mind is continuously running all by itself with no guidance or direction. This is very stress-chemical producing, and a person in this state has little chance of moving towards a worthwhile goal. They are basically caught in the stress cycle which is self-fulfilling. To make matters worse, the brain sees this "syndrome" as the goal, and works hard to keep it going. Anyone can learn self-hypnosis, as it is a natural process. When one learns to relax very deeply utilizing special techniques, and then introduces personalized metaphors, the subconscious mind accepts thefse as real. "Interactive Self-Hypnosis" utilizes sensory imaging techniques to move one past obstacles or the perceived problem, and on to greener pastures. These techniques are health producing, as the body works to manufacture healing chemicals when the person places himself in this state. These chemicals actually boost the immune system, and work to reverse or control an active disease process. We know that 60-90% of disease processes are stress related. By learning to manage anxiety and panic holistically, you have the power to move your mind/body from an illness mode to one of high level health So, we could say that 60-90% of your health outcomes are up to you! Main Program Page Main Library © All rights protected |
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Reply
 | | From: 2many | Sent: 4/10/2002 7:34 AM |
Excerpt from The Anxiety Epidemic Introduction The past ten years have seen a virtual chain reaction in the public’s outcry for information on the enhancement of a sound mind and body. As one result, nutrition has become a true science and is now taking its place as an integral part of health care. For years the American public lived by "you are what you eat." That has now changed to reflect the need for information about behavior, and the public is beginning to understand that "you are what you absorb." The content of this book will focus on well-documented information and studies by leading researchers and authorities in the field of clinical nutrition, behavioral medicine, and orthomolecular psychiatry and therapy. And the point I offer you is the importance of nontoxic, natural substances to relieve stress, fear, anxiety, and phobias—most specifically, the proven effectiveness of Gamma Amino Butyric Acid, or GABA, for this purpose. The forerunner in the use of natural substances to treat deficiency states and to produce a normal brain biochemistry is orthomolecular psychiatry. This therapy was first named and described in 1968 by Dr. Linus Pauling, a two-time Nobel Prize laureate and director of the Linus Pauling Institute. Orthomolecular psychiatry has continued to develop and provide a successful model for treatment with specific nutrients in the diet and supplementation as required. The Academy of Orthomolecular Psychiatry is now an organization that includes physicians and researchers from throughout the world. The Academy has published extensive research information on amino acids, minerals, vitamins, and their effect on the chemistry of the brain. Since orthomolecular psychiatrists rely heavily on nutrition and megavitamins, they emphasize that the human body is not naturally composed of Valium, Xanax, or any other of the tranquilizers so commonly prescribed today. The message is clear that there is no such thing as a tranquilizer deficiency! In contrast, amino acids, vitamins and other nutritional factors can easily be inadequate for the body’s needs, and these deficiencies can and do affect the mind and behavior. Recently released figures show that there are some six to ten million people in the United States alone who suffer daily from dreaded anxiety attacks, fear, panic, and phobias. They swallow annually something like 982,550 pounds of barbiturates and spend an astounding $875 billion for Valium, Xanax, Prozac and Zoloft. GABA (Gamma Amino Butyric Acid) is possibly the natural solution needed by these millions of sufferers! Return to The Anxiety Epidemic book page |
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Reply
 | | From: *2many* | Sent: 5/2/2003 1:13 AM |
Adressing Panic & Anxiety Disorder-Means and methods
|  | This particular page is a work in progress.I will add various,useful links on my link pages,but here I will add information about Panic and Anxiety Disorder Anxiety Disorder-What is it? It has been felt by some Dr's that Anxiety and Panic disorder are two seperate entities,and indeed they may be,but generally speaking,if you have one,you are bound to have the other.
You can quite possibly have anxiety disorder with panic attacks,and this is most common.Adressed here are General Anxiety disorder,GAD,and Panic Attack Disorder.
GENERALIZED ANXIETY DISODER-GAD
Generalized anxiety disorder (GAD) is much more than the normal anxiety people experience day to day. It's chronic and exaggerated worry and tension, even though nothing seems to provoke it. Having this disorder means always anticipating disaster,often worrying excessively about health, money, family, or work. Sometimes, though, the source of the worry is hard to pinpoint.Simply the thought of getting through the day provokes anxiety.
People with GAD can't seem to shake their concerns, even though they usually realize that their anxiety is more intense than the situation warrants. People with GAD also seem unable to relax. They often have trouble falling or staying asleep. Their worries are accompanied by physical symptoms, especially trembling, twitching, muscle tension, headaches, irritability, sweating, or hot flashes. They may feel lightheaded or out of breath.
Many individuals with GAD startle more easily than other people.They tend to feel tired, have trouble concentrating, and sometimes suffer depression, too.
Usually the impairment associated with GAD is mild and may feel nauseated or have to go to the bathroom frequently. Or they might feel as though they have a lump in the throat.
People with the disorder don't feel too restricted in social settings or on the job. Unlike many other anxiety disorders, people with GAD don't characteristically avoid certain situations as a result of their disorder. However, if severe, GAD can be very debilitating, making it difficult to carry out even the most ordinary daily activities.
GAD comes on gradually and most often hits people in childhood or adolescence, but can begin in adulthood, too. It's more common in women than in men and often occurs in relatives of affected persons. It's diagnosed when someone spends at least 6 months worried excessively about a number of everyday problems.
In general, the symptoms of GAD seem to diminish with age. Successful treatment may include a medication called buspirone. Research into the effectiveness of other medications, such as benzodiazepines and antidepressants, is ongoing. Also useful are cognitive-behavioral therapy, relaxation techniques, and biofeedback to control muscle tension.Some symptoms below for GAD
tachycardia (rapid heartbeat) headaches need for frequent urination dry mouth "butterflies" in the stomach feeling "on edge," impatient, or irritable stomach upsets
These are just a few of the symtpoms of GAD,as any person having this disorder will tell you,there are a huge range of symptoms that come and go.
PANIC DISORDER
People with panic disorder experience frequent, unprovoked panic attacks that involve some or all of these symptoms:
Racing heartbeat Chest pains Terror Fear of dying Dizziness or lightheadedness Nausea Flushes or chills Difficulty breathing Tingling or numbness Feelings of unreality Fear of losing control or doing something embarrassing
Panic disorder strikes between 3 and 6 million Americans, and is twice as common in women as in men. It can appear at any agein children or in the elderlybut most often it begins in young adults. Not everyone who experiences panic attacks will develop panic disorderfor example, many people have one attack but never have another. For those who do have panic disorder, though, it's important to seek treatment.
Untreated, the disorder canbecome very disabling.
Panic disorder is often accompanied by other conditions such as depression or alcoholism, and may spawn phobias, which can develop in places or situations where panic attacks have occurred. For example, if a panic attack strikes while you're riding an elevator, you may develop a fear of elevators and perhaps start avoiding them.
Some people's lives become greatly restrictedthey avoid normal, everyday activities such as grocery shopping, driving, or in some cases even leaving the house. Or, they may be able to confront a feared situation only if accompanied by a spouse or other trusted person. Basically, they avoid any situation they fear would make them feel helpless if a panic attack occurs. When people's lives become so restricted by the disorder, as happens in about one-third of all people with panic disorder, the condition is called Agoraphobia. A tendency toward panic disorder and agoraphobia runs in families. Nevertheless, early treatment of panic disorder can often stop the progression to agoraphobia.
Studies have shown that proper treatmenta type of psychotherapy called cognitive-behavioral therapy, medications, or possibly a combination of the twohelps 70 to 90 percent of people with panic disorder. Significant improvement is usually seen within 6 to 8 weeks.
HELP-HOW DO I KNOW IF I HAVE ANXIETY/PANIC DISORDER?
First off,symptoms can be a good indication,if you have suffered with them for more than 6 monthts.However,a diagnosis by a Dr is still the best method for diagnosing and treating these disorders.NEVER be ashamed,or guilty in having to ask for help..
STOP THE WORLD I WANNA GET OFF! Most of us,if not all,at some point in time,feel like we want to take a hike.I am NOT talking about suicide,but rather,taking off to some deserted island in the South Pacific.The world today is a fast paced,and too many people are focused on the outcome of their lives,and not the journey that gets them there...Relaxing isn't something we were born knowing how to do,and in such a srambled world,as we live in,relaxing can be elusive.It can be taught,and implemeted in your everyday life,to take some stress off your mind,body and soul,and leave you with a sense of inner calm and peace.Breathing skills,can also be taught,and I will go more into relaxation and breathing techniques on the Self-Help page.....
IAM GONNA DIE,IAM GONNA GO CRAZY!!
No,you are NOT crazy and you are NOT going to die.Anxiety and panic disorder is scary.,..and it can leave you numb and depressed,but the disorder themselves,are NOT a prelude to a Psych Ward or a Cardiac Unit
|  | |  | |  | |  |  |  | DIET AND PANIC/ANXIETY DISORDER Needless to say,that during stress our bodies go through huge metabolic changes,and our poor diets can lead to more dramatic changes.Sugar,caffiene and smoking are all contributing factors to Anxiety/Panic Disorder.Sugar and smoking don't help,but in my opinion,it is caffeine,that is the worst stressor.
Caffeine is hidden everywhere, it seems. Sure, you think that if you drink decaf coffee, you'll be safe...but how about that candy bar you had with lunch? How about that cold medicine you took before bed the other night? Well, no matter the amount of caffeine it contained, a person with a panic disorder would benefit from avoiding it altogether.
If you give a PD sufferer caffeine, it can (and usually does) trigger a panic attack. 50% of PD sufferers have panicky feelings after consuming four cups (6oz. each) of coffee. Non-sufferers will get panicky, too, but not without a much higher consumption.
A person with a panic disorder is so hypersensitive to the feelings inside of their body, and even just ingesting two cups of coffee will bring about a "buzz", enough to make a panicker wonder why their heart is beating faster, why they are warmer, (thus bringing about the "OH NO!!! A heart attack!!feeling which turns into a full blown panic attack.) Caffeine surely can increase your chances of having a panic attack, however you don't have panic disorder JUST due to the fact that you've ingested caffeine in your lifetime.
WHAT DOES CAFFEINE DO TO ME?
When you ingest caffeine in any form, it affects your adrenal glands. Yes, that is where adrenaline comes from in your body. The caffeine will raise the level of adrenaline in your system, and if you consume enough of it, you can exhaust those glands.
When your adrenal glands are exhausted, they can no longer properly respond to stress. They no longer will realease enough adrenaline into your system.
So, let's say that your adrenal glands aren't working properly. Doesn't sound like a bad thing for a panic sufferer, does it? Well, in fact, it is. So, what else can happen to you because of that, you might be asking. Well, there are several things...
Weakened Immune Response Panic Attacks
There is a chemical in your brain called "adenosine". It normally acts as a natural tranquilizer or sedative, but caffeine interferes with it. Several studies have been conducted on a chemical known as lactate, which, when injected into a non panic disorder sufferer, does nothing, but when injected into a panic sufferer, it will produce a panic attack. Caffeine raises the level of lactate in a persons system, thereby increasing the probability of a panic attack.
In conclusion, it would make sense for a person with an anxiety related disorder to avoid caffeine, or limit it's use in their lives. If you are currently drinking extreme amounts of coffee, it might be best to consult with your doctor about how to cut back on it without enduring intense headaches, nauseau, vomiting, or other withdrawel symptoms. The average person can easily cut back on their coffee, tea and soda consumption slowly, perhaps over a period of two weeks or so, without any serious affects.
It goes without saying that Sugar,Caffiene and Smoking can affect how our bodies react to outside stimuli.If you are having more anxiety than usual,I would suggest that you seriously examine your diet.Eliminating or cutting down on these substances CAN reduce your anxiety,and hence,your pronesss to panic attacks
Its Food For Thought!
PANIC TRIGGERS
Our attacks may seem to be a "bolt out of the blue" but in fact,research tells us that most panic attacks are precededed by mostly external triggers.Negative thinking can play a huge role in your life,and we will address that on another page.What are you triggers? DO certain smells,phrases etc set you off?
Its important to document your panic attacks,doesnt seem easy at the time,but it will become more so as you learn to do it.Right now,sit down and make a list of all the triggers you think maybe setting you off. Here is list to get you started.
Coffee - even decaf. If I have it in the morning, I will have a panic attack in the afternoon, this always is a "heart palp" panic.
Going somewhere where I feel shabby. Shopping in a department store without a cart. My ear ringing. Heartburn will make me panic.
Spending any amount of time in the heat. I MUST be cool or I panic.
The day after I do or go through something emotionally difficult. Not getting enough sleep. Naps - I always wake up feeling "not all here" and panic.
Anything medical or gruesome that I see on tv I can't watch "COPS" or shows like that. Billboards that show cancer centers or MRI testing facilities.
My mother calling and saying she's coming over.
Scratches or red marks on my body - I wonder if they're healing fast enough. Stupid I know.
Bad ugly dark skies when I'm home alone.
The trick is finding your own personal triggers and working through them,one at a time.It maybe easier to avoid places that you associate with panic,at first! but in the longterm,its a must for your own recovery to face these fears and hit them head on..... | | </TABLE></TABLE></TABLE>
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